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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Decorah, IA: $51.56

Avg. Paid

$51.56

Range

$10.30 – $263.73

Total Claims

37,829

Providers

41

Typical Payment Range

Typical Medicaid Office Visit payments fall between $29.28 and $67.92 per claim (median: $46.55). The top 10% of payments exceed $95.29.

Based on per-provider averages across all Medicaid claims in this category.

A standard doctor's office visit for evaluation and management of medical conditions. Includes new patient visits, follow-up visits, and consultations.

Understanding these costs

The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.

Providers Offering Office Visit in Decorah, IA

Provider Avg. Paid Claims Patients
Northeast Iowa Mental Health Center

905 Montgomery St

$49.04 6,969 5,544
Kevin Vincent Quinn

1830 State Highway 9

$40.02 4,746 4,477
Jason A Maret

1830 State Highway 9

$26.02 3,636 3,260
Stephen M. Ellestad

502 Mound St

$15.29 2,656 2,480
Gregory Madsen

901 Montgomery St

$118.41 2,237 2,082
John M Evelsizer Olson

901 Montgomery St

$61.95 1,471 1,324
Randall J Bremner

901 Montgomery St

$263.73 1,424 1,254
Kurt A Swanson

1830 State Highway 9

$37.04 1,313 1,216
Danielle Jo Bakewell

1830 State Highway 9

$33.68 1,282 1,197
Catherine A Nelson

1830 State Highway 9

$35.18 1,195 1,092
Samantha Jo Mikota Reicks

901 Montgomery St

$47.58 1,162 1,071
Elizabeth K Leschensky

901 Montgomery St

$42.95 1,051 912
Carla K Abel-Zieg

905 Montgomery Street

$34.15 955 859
Ryan S Stever

1830 State Highway 9

$36.06 862 763
Carol Ludeking

901 Montgomery St

$61.43 754 701
Jenny L Stegen

1830 State Highway 9

$32.90 675 635
Janet S Ryan

1830 State Highway 9

$35.92 585 538
Ian J Stock

1830 State Highway 9

$28.69 554 520
James Williams Ott

901 Montgomery St

$38.20 538 503
Sherri K Schilling

1830 State Highway 9

$33.65 489 451
Craig P Sullivan

1830 State Highway 9

$20.67 448 381
Jennifer Marie Becker

901 Montgomery St

$30.01 392 361
Shelly Sue Weiland

901 Montgomery St

$53.83 356 311
William J Remington

901 Montgomery St

$27.79 313 289
Lisa A. Zittergruen

901 Montgomery St

$38.74 292 264
John Vogel

901 Montgomery St

$37.26 256 245
Eric William Svestka

901 Montgomery St

$10.30 241 215
Rebecca L Gesing

901 Montgomery St

$35.38 170 158
Anthony M Coppola

1830 State Highway 9

$35.99 117 110
Daniel S Wientzen

1830 State Highway 9

$37.14 110 105
Tyler C Menke

901 Montgomery St

$41.12 101 95
Heather Kay Levinson

901 Montgomery St

$31.54 97 93
Andrea Gail Wilson

1830 State Highway 9

$40.48 96 92
Gregory James Valkosky

1830 State Highway 9

$30.40 73 64
Sarah M Kach

901 Montgomery St

$61.70 62 58
Ricky Duane Wilkerson

901 Montgomery St

$31.46 45 42
Ann Elizabeth Grimstad

901 Montgomery St

$38.02 41 39
Lalit Gupta

1830 State Highway 9

$165.75 20 12
Paul D Pellett

1830 State Highway 9

$25.90 19 18
Anna Christine Mark

901 Montgomery St

$43.23 14 12
Sarah J Wymer

901 Montgomery St

$42.18 12 12

What to Expect: Office Visit

A typical office visit lasts 15-45 minutes depending on complexity. Your doctor will review your medical history, discuss symptoms, perform a physical exam, and discuss treatment options. You may receive prescriptions, referrals, or orders for diagnostic tests. Follow-up visits are usually shorter than new patient visits.

Cost Components

National average Medicaid payment per billing code. Individual rates vary by provider and state.

Code Description Avg. Paid Claims Providers
99213 Office visit established mod $43.18 764,306,590 487,602
99214 Office visit established mod-hi $59.53 502,480,931 466,856
99212 Office visit established low $41.69 92,299,154 127,462
99203 Office visit new moderate $67.55 47,756,882 127,334
99211 Office visit established minor $39.24 44,127,221 47,748
99204 Office visit new moderate-high $92.03 32,379,031 111,937
99215 Office visit established high $93.58 29,619,773 74,725
99202 Office visit new low $58.57 9,372,712 35,486
99205 Office visit new high $136.10 3,665,382 19,737
99244 Office consultation mod-high $118.25 3,405,681 11,884
99243 Office consultation moderate $78.55 2,585,480 8,432
99245 Office consultation high $132.29 645,300 3,046
99242 Office consultation low $58.27 483,445 1,980
99241 Office consultation brief $66.15 295,664 712

These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.

Frequently Asked Questions

How much does a Office Visit cost in Decorah, IA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Decorah, IA is $51.56 per claim, based on 37,829 claims from 41 providers. Typical payments fall between $29.28 and $67.92. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.

How many providers offer Office Visit in Decorah, IA?

There are 41 Medicaid providers offering Office Visit related services in Decorah, IA according to public payment data.

What is the price range for Office Visit in Decorah, IA?

Medicaid reimbursement for Office Visit in Decorah, IA ranges from $10.30 to $263.73 per claim, with an average of $51.56. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Office Visit in Other Cities

Other Procedures in Decorah, IA